| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $4,677.35 | $6,165.95 | |
BCBS
| Facility | $323.59 | $524.81 | $524.81 | |
Health Alliance Plan
| Facility | $446.68 | $3,630.78 | $6,165.95 | |
United
| Facility | $891.25 | $7,079.46 | $12,882.50 |